학술논문
When intervention becomes imperative: a case report of spontaneous vulvar edema during pregnancy.
Document Type
Report
Author
Trang VAV; Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam (Drs Trang, B Le, H Pham, V Tran, and P Nguyen).; Pham TN; University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam (Drs T Pham, Trinh, and K Le).; Le BH; Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam (Drs Trang, B Le, H Pham, V Tran, and P Nguyen).; Truyen TTTT; Faculty of Medicine, Nam Can Tho University, Can Tho City, Vietnam (Drs Truyen and XXX Q Tran).; Trinh HKT; University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam (Drs T Pham, Trinh, and K Le).; Le KM; University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam (Drs T Pham, Trinh, and K Le).; Pham HD; Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam (Drs Trang, B Le, H Pham, V Tran, and P Nguyen).; Nguyen NMT; Department of Pathology, Binh Dan Hospital, Ho Chi Minh City, Vietnam (Dr N Nguyen).; Tran QK; Faculty of Medicine, Nam Can Tho University, Can Tho City, Vietnam (Drs Truyen and XXX Q Tran).; Nguyen PCH; Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam (Drs Trang, B Le, H Pham, V Tran, and P Nguyen).; Tran VH; Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam (Drs Trang, B Le, H Pham, V Tran, and P Nguyen).
Source
Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101777907 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-5778 (Electronic) Linking ISSN: 26665778 NLM ISO Abbreviation: AJOG Glob Rep Subsets: PubMed not MEDLINE
Subject
Language
English
Abstract
Spontaneous idiopathic vulvar edema during the second trimester is a rare condition. The approach to managing this condition involves relieving symptoms, identifying underlying causes, and implementing appropriate treatment. Managing such cases during pregnancy is challenging because of concerns for potential adverse fetal outcomes. Conservative management expects the condition to be relieved spontaneously postpartum, whereas invasive treatment offers a more rapid resolution. Treatment choices are controversial because each method has its pros and cons and influences the delivery process to a certain extent. Surgical drainage becomes a viable option when patients are not responsive to medications. We report a case of spontaneous massive vulvar edema in a 22-year-old primigravida in her 23rd week of pregnancy. After ruling out other notable causes of vulvar edema, we decided to intervene using an invasive procedure because she complained of progressive symptoms and discomfort. Subsequently, the edema subsided postprocedure, and the patient experienced successful labor with no complications. This report aims to alert clinicians that drainage attempts should be considered in pregnant patients with worsening symptoms.
(© 2024 The Authors.)
(© 2024 The Authors.)